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TANITA SULLIVAN

Intellectual and/or Developmental Disabilities Residential Treatment Facility

NPI: 1659671147Individual

Specialties, Licenses & Credentials

Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

Physical Disabilities Residential Treatment Facility

Residential Treatment Facility, Physical Disabilities

Code: 320700000X

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320900000X

Substance Abuse Rehabilitation Facility

Substance Abuse Rehabilitation Facility

Code: 324500000X

Contact & Hours

Address
13985 BROKEN ARROW DR
WILLIS, TX 77378

Quick Facts

NPI
1659671147
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
4
Locations
1

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